Complaint & Appeals Coordinator, CVS Health

CVS Health

Location:
United States

Category:
Customer Service

Contract Type:
Employment contract

Salary:

17.00 - 28.46 USD / Hour

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Job Description:

At CVS Health, we’re building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation’s leading health solutions company, we reach millions of Americans through our local presence, digital channels and more than 300,000 purpose-driven colleagues – caring for people where, when and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it all with heart, each and every day.

Job Responsibility:

Verify caller enrollment status with Mercy Care Plan
Collect and document accurate demographic information from members or callers, as well as from Mercy Care systems
Confirm details such as whether members receive special assistance (applicable to members with serious mental illness)
Utilize the QuickBase database to complete intake forms, ensuring documentation of members' reasons for calling is thorough and precise
Provide empathetic and compassionate support to all callers
Assist with special projects as assigned

Requirements:

Must reside in Arizona
At least 6 months of experience with Medicare and Medicaid programs
At least 6 months of experience with behavioral health systems experience related to individuals with serious mental illness
Proficiency with typing and basic computer knowledge
Ability to navigate multiple systems to retrieve data during calls
Ability to critically assess the information provided by callers to ensure completeness and accuracy

Nice to have:

Resides in Maricopa or Pinal Counties, Arizona
Excellent communication skills
Strong critical thinking skills
Ability to multitask and stay organized

What we offer:

Affordable medical plan options
401(k) plan (including matching company contributions)
Employee stock purchase plan
No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching
Benefit solutions including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access

Additional Information:

Job Posted:
October 31, 2025

Expiration:
November 13, 2025

Employment Type:

Fulltime

Work Type:

Remote work

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Complaint & Appeals Coordinator